{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T10:30:36Z","timestamp":1756636236137,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,3,3]]},"abstract":"<jats:p>Bilateral neck swelling in patients following valsalva manouveres could lead to a diagnosis of either a pharyngocele or laryngocele. Distinguishing between them can be complicated but is vital given the possibility for an acute airway in patients with laryngoceles.<\/jats:p>\n               <jats:p>A 20-year-old trumpet player presents with a 5-year history of neck swelling. Clinical suspicion is that of a pharyngocele but imaging introduces some confusion with the diagnosis.<\/jats:p>\n               <jats:p>Both pharyngoceles and laryngoceles can occur as a result of prolonged positive pressure. Accurate assessment with fibreoptic examination and imaging is needed to confirm the diagnosis.<\/jats:p>\n               <jats:p>Pharyngoceles are often misdiagnosed as laryngoceles. Though treatment is similar between the two patient groups it is vital that a distinction is made to enable careful observation of the airway in patients with laryngoceles.<\/jats:p>","DOI":"10.1136\/bcr-2015-209487","type":"journal-article","created":{"date-parts":[[2015,3,20]],"date-time":"2015-03-20T13:20:20Z","timestamp":1426857620000},"page":"bcr2015209487","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["The trumpet player with a swelling in the neck"],"prefix":"10.1136","volume":"2015","author":[{"given":"Rachel","family":"Edmiston","sequence":"first","affiliation":[{"name":"Manchester Royal Infirmary, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Hariri","sequence":"additional","affiliation":[{"name":"Manchester Royal Infirmary, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yakubu","family":"Karagama","sequence":"additional","affiliation":[{"name":"Manchester Royal Infirmary, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,3,20]]},"reference":[{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1111\/j.1365-2273.1988.tb01130.x","article-title":"The aetiology of layrngocoele","volume":"13","author":"Amin","year":"1987","journal-title":"Clin Otol"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.2","first-page":"675","article-title":"Layngocoele and saccular cysts","volume":"87","author":"Holinger","year":"1978","journal-title":"Ann Otol"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.3","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1148\/radiographics.19.1.g99ja06121","article-title":"Congenital cystic masses of the neck radiologic-pathologic correlation","volume":"19","author":"Koeller","year":"1999","journal-title":"Radiographics"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.4","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113000236"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.5","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1002\/lary.23851","article-title":"Bilateral pharyngocele surgery under local anesthesia: let the patient help the surgeon","volume":"123","author":"Leuchter","year":"2012","journal-title":"Laryngoscope"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0368-2242(57)80012-8"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.7","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510005917X"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.8","doi-asserted-by":"crossref","first-page":"153","DOI":"10.21091\/mppa.2003.4027","article-title":"Hypopharyngeal pressure in brass musicians","volume":"18","author":"Stasney","year":"2003","journal-title":"Med Probl Perform Art"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.9","doi-asserted-by":"publisher","DOI":"10.1177\/000348947808700513"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.10","doi-asserted-by":"publisher","DOI":"10.4103\/2230-9748.118712"},{"key":"2025082800480622000_2015.mar20_1.bcr2015209487.11","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1017\/S0022215100129822","article-title":"The pharyngocele: infrequently encountered and easily misdiagnosed","volume":"109","author":"Van de Ven","year":"1995","journal-title":"J Laryngol Otol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-209487","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:48:26Z","timestamp":1756367306000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-209487"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,20]]},"references-count":11,"alternative-id":["10.1136\/bcr-2015-209487"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-209487","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,3,20]]}}}